Bilateral sequential phakic Intra ocular implantation on same day appears to be safe alternative in terms of BCVA, IOP, inflammation, endophthalmitis, and development of Cataract in our study. Same day provides faster recovery, fewer visits to hospital, similar medication schedule, fewer leaves from work. However short follow is a limitation. In present era of immediately sequential bilateral cataract surgery , bilateral sequential phakic IOL implantation has better safety due to lack of breach in blood retinal barrier and no trigger of anterior chamber associated immune response, and could be a novel option in terms of safety and retaining binocular vision.